HomeMy WebLinkAboutPermit EL17-0312 - CORDOVA RESIDENCE - INTRUSION ALARMCORDOVA RESIDENCE
14257 MACADAM RD S
CANCELLED
06/13/17
ELI7-O312
Parcel No:
Address:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
1523049171 Permit Number: EL17-03.12
14257 MACADAM RD S
Project Name: CORDOVA RESIDENCE
Issue Date: 4/25/2017
Permit Expires On: 10/22/2017
Owner:
Name:
Address:
CORDOVA LENSY JOANNA+RIVAS
14257 MACADAM RD S ,
TUKWILASEATTLE, WA, 98168
Contact Person:
Name: JENNIFER COVELLO
Address: 9808 31 AVE SE , EVERETT, WA, 98208
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
ADT LLC
6102 N NINTH ST SUITE 700, TACOMA,
WA, 98406
ADTLLL*881D0
,11
Phone: (206) 774-9499
Phone: (561) 988-3600
Expiration Date: 3/20/2018
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE INSTRUSION ALARM
Valuation of single family: $300.00
Valuation of mf/comm: $0.00
Type of Work: LOW VOLTAGE
Fees Collected: $64.10
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Date: C, VAS//?
I hearby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of law and ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other
state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature: Date: 1-VZS(1}
Print Nam wS%w. w•.f'�
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts
of the building, such equipment shall not be concealed until it has been inspected and approved by the
Electrical Inspector.
6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any
violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related
documentation that presumes to grant this authority are therefore not valid.
7: Any change in the scope of work described by the electrical work permit shall require additional work
permits. Where approved plans have been issued, revisions to the plans and additional review may be
required.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION
King Co Assessor's Tax No.:
Site Address: 14257 MACADAM RD. S
Tenant Name: LENSY CORDOVA
PROPERTY OWNER
Name: LENSY CORDOVA
Address: 14257 MACADAM RD S
City: Tukwila State: WA
Zip: 98168
CONTACT PERSON - person receiving all projec
communication
Name: Jennifer Covello/ jennifer@nwpermit.com
Address: 9808 31st Ave SE
City: Everett
State: WA Zip: 98208
Phone: (206) 77479499 Fax: (888) 400-0383
Email:
1523049171
Suite Number: Floor:
New Tenant: ' 0 Yes
..No
ELECTRICAL; CONTRACTOR. INFORMATION
Company Name: -ADT LLC
Address: ' 11824 NORTH CREEK PKWY N # 105
City: BOTHELL
State: WA Zip: 98011
Phone: (206) 774-9499 Fa": (888) 400-0383
Contr Reg No.: ADLLL*881D0 Exp Date: 03/20/2017
Tukwila Business License No:;
Valuation of Project (contractor's bid price): $ 300
Scope of Work (please provide detailed information):
install low voltage intrusion alarm
Will service be altered? 0 Yes m No
Type of Use: -Res
Adding more than 50 amps?
Yes 1 J No
Type of work:
0 New, ❑ - Addition 0 Service Change
Low Voltage ❑ Generator 0 Fire Alarm
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
H:\Applications\Forms.Applications On Line \ 2014 Applications\ Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
❑ Remodel 0 Tenant Improvement
0 Telecommunication D Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 ea
JA.
31IA
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Nam
ustin Smith
Mailing Address:
9808 31st Ave SE
FC\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Date: 04/06/2017
Day Telephone: (206) 774-9499
Everett WA 98208
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
1
PermitTRAK
ACCOUNT
QUANTITY
PAID
$64.10
EL17-0312 Address: 14257 MACADAM RD S
Apn: 1523049171
$64.10
ELECTRICAL
$61.05
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$61.05
TECHNOLOGY FEE
$3.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11351
R000.322.900.04.00
0.00
$3.05
$64.10
Date Paid: Tuesday, April 25, 2017
Paid By: NORTHWEST PERMIT INC
Pay Method: CHECK 3452
Printed: Tuesday, April 25, 2017 2:56 PM 1 of 1
I?ISYSTEM S
MEMORANDUM
TO: Laurie Anderson
FROM: Brenda Holt I1""`'
`�
DATE: June 13, 2017
SUBJECT: Refund for Electrical Permit
EL17-0312
Please draw a check in the amount of $48.84 (forty-eight dollars and eight -four cents) to
be payable to Northwest Permit at 9808 31st Avenue SE in Everett, WA 98208.
The work for this permit was not performed. The permit has been cancelled and the
applicant has requested a refund which the Building Official has granted at 80%. Please
provide the refund as follows:
AccountAmount
000.322.101.00.00
$48.84
000.322.900.04.00
$0.00
Total
$48.84
Please forward the check to me and I will forward it on to the applicant.
Thank you!
Bill Rambo
From: Reyes, Julie A <jlee@adt.com>
Sent: Tuesday, June 13, 2017 12:43 PM
To: Brenda Holt
Cc: Nickols, Timothy; Jennifer Covello; Bill Rambo; Rachelle Ripley
Subject: Cancel/Withdraw permit EL17-0312 for Lensy Cordova.
Good Afternoon,
Please Cancel/Withdraw permit EL17-0312. Permit was not needed.
Please mail any refund to:
ADT LLC
Attn: Tim Nickols
6102 N 9th St, Suite 700
Tacoma, WA 98406
Thank You,
Julie A. Reyes •
NW #92152
s.
Request for Refund
❑ Approved for full refund
Approved for % refund of fee(s)
Denied (provide explanation)
Signature/initials _J /
1
This email, .including attachments, may contain information that is private or confidential. If you received this
communication in error, please delete it from your system without copying it and notify sender by reply
communication. ADT Security Services and its affiliates reserve the right to monitor communications handled
by its data communications systems to help ensure compliance with ADT's policies, confidentiality obligations,
and applicable laws.
• RECEIVED
CITY OF TUKWIL.AA,
JUN 13 201/
PERMIT CENTER
ADT LLC
Horne Espanol Contact
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Safety & Health Claims & Insurance Workplace Rights Trades & Licensing
Washington State Department of
)Labor & Industries
ADT LLC
Owner or tradesperson
Principals
Whall, Timothy J, PARTNER/MEMBER
Finney, Gray P, PARTNER/MEMBER
Bresingham, Daniel M, MANAGER
CT, CORP SYSTEM, AGENT
Gursahaney, Naren K, PARTNER/MEMBER
. (End: 07/13/2016)
Beleisch, Nelson D, PARTNER/MEMBER
(End: 07/13/2016)
Tulsyan, Ravi, PARTNER/MEMBER
1 (End: 07/13/2016)
Doing business as
ADT LLC
WA UBI No.
603 190 246
6102 N 9TH ST
Ste 700
TACOMA, WA 98406
206-719-0347
PIERCE County
Business type
Limited Liability Company
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
.............................................................
Meets current requirements.
License specialties
LIMITED ENERGY
License no.
ADTLLL*88100
Effective — expiration
03/20/2012— 03/20/2018
Designated administrator
Nickols, Tim
License type
Electrical Administrator
Bond
Federal Ins Co
Bond account no.
82295435
Active.
Meets current requirements.
License no.
NICKOT*902DA
$4,000.00
Received by L&1 Effective date
03/20/2012 03/01/2012
Expiration date
Until Canceled
Savings
.........
No savings accounts during the previous 6 year period.
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https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 04/25/2017